Your address

Form of address*

 

Surname*

 

First name*

 

Title

 

Company/University

 

Street*

 

Postal code (Zip)*

 

Town*

 

Country*

 

Phone no.*

 

email*

 

 

Social Events

 

Thursday, Oct. 15th , Morning Activity

 

Thursday, Oct. 15th, Evening Event on the Titlis

 

Friday, Oct. 16th, Morning Activity

 

Meals

Your choice

 

Meat
vegetarian

 

Hotel reservation

Arrival date

 

Departure date

 

Hotel category

 

4****-Hotel single room CHF 160.00
4****-Hotel twin room CHF 130.00
3***-Hotel single room CHF 110.00
3***-Hotel twin room CHF 85.00

Name of 2nd person

 

 

Autorisation to debit the credit card

Credit Card

 

Visa
Eurocard/Mastercard

Card No.

 

Expiry date

 

 

Invoice

Anti-Spam*

 

* zwingend